Prescribing in elderly

Question 1

What term describes when suffers from more than one chronic disease at time?

Answer 1

Multimorbidity

Question 2

What drugs won’t work if a patient has renal impairment?

Answer 2

Nitrofuratoin, bendroflumethiazide

Question 3

What drugs damage kidneys?

Answer 3

NSAIDs and ACEi

Question 4

What drugs are nephrotoxic and can’t be elimintated?

Answer 4

Gentamicin

Question 5

What is the MDRD formula?

Answer 5

Calculator above uses the abbreviated MDRD equation: Estimated GFR (ml/min/1.73m2) = 186 x (Creat / 88.4)-1.154 x (Age)-0.203 x (0.742 if female) x (1.210 if black)

Question 6

When is nitrofuratoin not effective?

Answer 6

If the egfr is less than 45

Question 7

What causes acute confusion in elderly?

Answer 7

A mnemonic to help recall some of the causes of acute confusion in the elderly:

How Come ‘Dis DoDo Is Excited

Mnemonic

H: hypoxia

C: constipation

D: drug effects

D: diabetes mellitus

D: dehydration

I: infection

E: electrolyte imbalance